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Wisconsin rates for MS-DRG 876

O.R. procedure w principal diagnoses of mental illness

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,120.40 / $58,120.40 / $68,884.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,691.00 / $66,944.66 / $102,051.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,894.83 / $10,667.12 / $51,610.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,529.01 / $68,237.89 / $111,695.61
Network Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,683.67 / $6,683.67 / $6,683.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.91 / $39,630.01 / $56,711.16
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,395.93 / $67,416.14 / $79,230.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,677.31 / $71,909.17 / $90,647.36